AS PE Book 2 Anatomy & Physiology Cardiovascular & Respiratory systems Name ......................................................................... 1 KEY TERMS you need to be aware of and learn for the cardiovascular/respiratory system KEY TERM Aerobic Anaerobic Deoxygenated Oxygenated Pulmonary Cardiac cycle Bradycardia Hypertrophy Stroke volume Sub maximal Venous return Ventricular contractility Oxygen debt Motor nerves Sensory nerve Receptors Venous return Starling’s law Smooth muscle Vasodilate Vasoconstrict Venodilate Venoconstrict Chemoreceptor Baroreceptor OBLA Enzyme Blood viscosity Myoglobin Ergogenic VO2 max Lactate threshold DEFINITION A process taking place in the presence of oxygen A process taking place with insufficient oxygen Blood depleted of oxygen Blood saturated/loaded with oxygen Linked to the lungs Events of one heart beat A resting heart rate (HR) below 60 Increase in size of heart muscle wall Blood ejected from heart ventricles every beat Exercise performed at an intensity below an athlete’s maximal aerobic capacity or max VO2 – hence it represents aerobic work Blood returning to the heart Capacity of heart ventricles to contract Additional oxygen consumption during recovery, above that usually required when at rest Nerves which stimulate muscle tissue causing motor movement Nerves which transmit information to Central Nervous System e.g. from receptors to the CCC (cardiac control centre) Sense organs that pick up stimuli, which are relayed to the brain (medulla oblongata) Blood returning to the heart SV dependent upon venous return = any increase in VR causes an increase in SV & Q Involuntary muscle found in blood vessel walls Widening of arterial blood vessels Narrowing of arterial blood vessel walls Widening of venous blood vessels Narrowing of venous blood vessel walls A sensory receptor that is selective for a chemical substance A sensory receptor that responds to pressure or stretch. Refers to the blood pressure receptors of the carotid artery & aorta Onset of blood lactate accumulation, where the body produces lactic acid quicker than it can remove it, causing an increase in lactic acid levels which eventually cause muscle fatigue Protein that acts as a catalyst for bodily reactions Resistance to blood flow Red pigment in muscles that store & transport O2 to mitochondria within muscles Anything that improves performance Maximal oxygen consumption Start of anaerobic work 2 NOTE The Cardio system Review of heart structure & function Aerobic work refers to exercise that ................................................................................................ Examples Anaerobic work refers to exercise that ............................................................................................ Examples The aerobic system refers to three systems in order to ensure constant distribution of oxygen to the muscles during exercise, the heart, the vascular and the respiratory systems. Heart’s conduction system linked to the cardiac cycle The heart has a dual-pump action with two separate pumps that work simultaneously to pump blood to two different destinations. The right side pumps _______________________ blood towards the lungs The left side pumps ________________________ blood towards the rest of the body Label the heart 3 Conduction system The heart is myogenic – it generates/controls its own electrical impulse called the cardiac impulse. Describe the conduction system..... Cardiac cycle - add in the arrows of the blood flow through the cardiac cycle for each of the three stages Stage 1 Diastole Relaxation/passive filling phase lasting 0.5 seconds Deoxygenated blood enters RA from superior/inferior vena cava Oxygenated blood enters left atrium from pulmonary veins Rising blood pressure against AV valves forces blood into ventricles through tricuspid & bicuspid valves EDV - volume of blood after filling Stage 2 Atrial systole Contraction of left & right atria Rising atrial pressure forces remaining blood into the L&R ventricles Stage 3 Ventricular systole Contraction of both L&R ventricles, increase in ventricular pressure forces blood out of L&R ventricles (SV) RV forces blood from pulmonary valve into pulmonary artery to lungs LV forces blood from aortic valve into aorta to the body tissues A reserve volume of blood will be left in the ventricles (ESV) Bicuspid & Tricuspid valves remain shut Aortic & pulmonary valves close after ventricular systole to prevent blood flowing back into ventricles Relationship between and resting values of Heart Rate, Stroke Volume & Cardiac Output 4 Heart Rate (HR) The number of times the heart beats per _______________ Stroke Volume (SV) The volume of blood ejected from the heart per _________ The average resting heart rate is ____________ bpm The average resting SV is approx __________ml EDV is volume of blood left in ventricles at end of filling stage ESV is volume of blood left in ventricles at end of contraction SV = EDV – ESV Cardiac Output (Q) This is the volume of blood ejected by heart ventricles in ______________ min Q = SV x HR Work it out Using the calculations and information above, what would an average person’s cardiac output be at rest? What is your cardiac output? The heart’s response to exercise Exercise Intensity Resting SV 60/80 ml HR 70/72 bpm Q 5 L/min Complete the following table Sub-maximal (mod) 80/100 ml untrained 160/200 ml trained Up to 100/130 bpm Maximal 220 - age 20 – 40 L/min 5 The HR is constantly changing before, during and after exercise. The type of change depends on the activity that you are taking part in... Explain what is happening to the HR during the following stages of exercise. Use the graph and each number 1-6 to help you.... Task 160/ 200 5b 4 3 2 60/ 72 5a 6 1 Prior Exercise Recovery 6 Cardiac Control Centre CCC The heart is regulated via stimulation of the SA node. The CCC is controlled by the autonomic nervous system. There are three main factors that affect the activity of the CCC, Neural, Hormonal and Intrinsic control. Complete Chemoreceptors – in muscles, aorta & carotid arteries Neural Neural Neural Baroreceptors – in aorta & carotid arteries CCC in medulla oblongata Proprioreceptors – in muscle spindles/joint receptors, golgi tendon organs Venous Return Temperature Adrenalin – from adrenal glands Intrinsic Intrinsic Hormonal The CCC will detect whether to increase or decrease HR through the initiation of either the sympathetic or parasympathetic nervous system. Sympathetic nerves _______________________ HR Parasympathetic nerves _______________________ HR The heart’s link to a healthy lifestyle The impact of regular participation in physical activity and a healthy lifestyle in relation to the heart is clear. Using your notes, text books and the article ‘physiological adaptations to aerobic training’ in PE Review April ’08, answer the following exam type question.. 1a) Taking part in physical activity is considered essential to maintaining a healthy lifestyle. Does the type of activity make a difference? 1b) What are the positive impacts on the heart of participating in different types of physical activity? [5 marks] 7 The Vascular system Blood & Blood vessel system The vascular system controls blood supply. It consists of blood and blood vessels that transport & direct O2 and CO2 to and from the lungs, heart and body tissues/muscles. Circulatory networks - blood vessel structure All blood vessels have three layers except for single walled capillaries Artery & arteriole walls have a large muscular middle layer of involuntary smooth muscle that allows them to vasodilate (widen) and vasoconstrict (narrow) to alter their shape and size to regulate blood flow Arterioles have a ring of smooth muscle surrounding the entry to the capillaries called precapillary sphincters that control blood flow Capillaries have a very thin, one-cell thick layer to allow gaseous exchange to take place Larger veins have pocket valves to prevent the back flow of blood and direct blood in one direction back to the heart Venules & veins have a much thinner muscular layer, allowing them to venodilate and venoconstrict to a lesser extent and a thicker outer layer to help support the blood that sits within each valve Pulmonary circulation system Systemic circulation system 8 Venous Return Mechanisms Venous return is the deoxygenated blood returning to the heart. Starling’s Law states that ‘Stroke Volume is dependent upon venous return’. If VR increases, so does SV/Q. If VR decreases, so does SV/Q. There are five mechanisms that help to maintain or increase VR during exercise to ensure that SV & Q are sufficient to supply the demand for oxygen. Complete Give a short description of each and include a diagram where possible.... Pocket valves Skeletal muscle pump Respiratory pump Smooth muscle Gravity TASK In small groups, answer the following.....using your knowledge, show how venous return may impact on the quality of performance. You may consider before, during & after physical activity. 9 Blood pooling VR requires a force to push blood back towards the heart. If there is insufficient pressure to push blood back towards the heart, it causes blood pooling. This is why an active cool down is important as it prevents blood pooling after exercise by maintaining the muscle and respiratory pumps. Redistribution of cardiac output from rest to exercise involves a process called the Vascular Shunt Mechanism Complete Approx 80% Q Organs ...................... Cardiac Output (Q) Approx 20% Q Muscles At rest ....................... <<intensity>> During exercise Muscle ______________________ and pre-capillary ______________________ vaso___________________ to allow more blood to the working muscles Organ _______________________ and pre-capillary ______________________ vaso __________________ to reduce blood supply to the organs Exam tip Up to 4 marks are available for explaining the vascular shunt mechanism: 2 marks for vasodilation of muscle arterioles and pre-capillary sphincters and 2 marks for vasoconstriction of organ arterioles and pre-capillary sphincters. Take it further Consider the following scenario which is a problem faced by all athletes. A cyclist completes an exhausting high intensity training programme and immediately stops, climbs off the bike and stands against the wall whilst recovering. Feeling light headed or dizzy they faint, falling to the floor. Use your knowledge of VR to explain this sequence of events and give your recommendations to avoid recurrence. 10 Vasomotor control centre VCC The VCC regulates the redistribution of Q by controlling the vascular shunt mechanism. During exercise, VCC receives information from: chemoreceptors in muscles, aorta and carotid arteries that there is an increase in lactic acid and CO2 and a decrease in O2 and pH levels. Baroreceptors in aorta & carotid arteries that systolic blood pressure has increased/decreased When the VCC receives this information, it responds by sending messages via the sympathetic nervous system and controls the blood flow to organs & muscles through the following.... Complete Vasomotor control (VMC) Vascular Shunt mechanism Organs Muscles Increased sympathetic stimulation Vasoconstriction of arterioles ....and pre-capillary sphincters Decreased blood flow/Q to capillaries or non-essential organs ? TASK Test your understanding and knowledge and answer the following exam question Venous return is the transport of deoxygenated blood to the right side of the heart. Give three mechanisms which maintain venous return during exercise. An increase in venous return can improve performance. Explain how the increase in blood flow affects cardiac output. [6 marks] (Jan ’10) 11 O2 & CO2 Transport Efficient transport of O2 and CO2 is important in physical activity as it prolongs duration of anaerobic and aerobic activity, delays anaerobic threshold which increases the possible intensity /work rate for the activity and it speeds up recovery during and after exercise. O2 and CO2 are transported via the blood in the following way:CO2 O2 70% combined with water in 97% in haemoglobin In RBCs as oxy-haemoglobin red blood cells as carbonic acid 3% within blood plasma 23% in haemoglobin as carbaminohaemoglobin 7% dissolved in plasma Exam Tip It is easy to recall, for two marks, that Hb and plasma both transport O2 & CO2 Warm Up / Cool Down effects on the vascular system Warm Up Gradual increase in blood flow due to vascular shunt Vasoconstriction & Vasodilation info Increase in body/muscle temperature increasing transport of enzyme activity required for energy systems & muscle contraction Increase in body/muscle temperature which decreases blood viscosity, improving blood flow to working muscles and increases dissociation of O2 from haemoglobin Decreases OBLA due to the onset of anaerobic work without a warm-up Cool Down Keeps metabolic activity elevated, which decreases heart rate and respiration gradually Maintains vasodilation of muscle arterioles/precapillary sphincters, which keeps capillaries dilated to flush muscles with oxygenated blood Maintains respiratory/muscle pumps, which maintains venous return, which: Prevents blood pooling in veins Maintains blood flow (SV & Q) to supply O2 which maintains blood pressure Increases the removal of blood and muscle lactic acid and CO2 12 Blood Pressure Blood Pressure is essential to apply the force needed to circulate the blood around the body. It is the ‘pressure exerted by blood against the (arterial) blood vessel walls’ Contractive force of the heart ventricles Forces blood through the arteries Blood pressure is expressed as Systolic Diastolic The average blood pressure (resting) is (ventricular systole) (ventricular diastole) 120mmHg (in aorta) 80mmHg What is your blood pressure? The contraction of the heart ventricles represents the high pressure force of the ‘blood flow’ leaving the aorta, so any increase in Q will cause Bp to increase Mm Hg Bp changes during different types of physical activity 300 250 200 150 100 50 Long Rest Aerobic exercise 2-arm curl heavy load 2-leg press heavy load term effects Resting Bp may decrease with continued endurance training Resting Bp is generally lowered in people who have mild/mod hypertension Endurance training can reduce the risk of developing high Bp Task Using information from text book (pgs 90/91), explain why Bp changes and the differences in systolic & diastolic pressures. For an A/B answer, you will need to do some extra research. 13 Hypertension & Bp Hypertension is long-term, enduring high Bp, where treatment is normally provided if Bp exceeds 140/90mmHg. Effects of hypertension include: Increased workload on the heart Accelerates atherosclerosis and arteriosclerosis Causes arterial damage, increasing the risk of a stroke and heart failure Regular exercise and an active lifestyle may prevent high Bp indirectly by reducing the risk of obesity and reducing stress, which may help to keep blood pressure at moderate levels. Causes of high Bp / Hypertension Controllable causes Uncontrollable causes Exam question Blood pressure is essential to apply the force needed to circulate the blood around the body to supply oxygen to the working muscles. i) Explain the difference between blood pressure and hypertension ii) What changes occur to blood pressure during physical activity [5 marks] 14 Impact of physical activity on the cardiovascular system in reference to a lifelong involvement in an active lifestyle. Cardiac Heart Disease (CHD) Coronary heart disease is the single largest cause of death in the Western world and is linked to a sedentary lifestyle. There is a cause – effect relationship where two blood vessel diseases lead to the two heart related diseases... Blood vessel CHD Arteriosclerosis Atherosclerosis Heart related CHD Angina Heart Attack Using the text book (pgs 93/94), write down 3-4 issues relating to each of the diseases... Arteriosclerosis - Atherosclerosis - Angina - Heart Attack - 15 CHD risk factors There are five risk factors associated with developing CHD 1) 2) 3) 4) 5) If you score relatively low on the risk table, you will have more protection from CHD. If you score highly in 2 or more of the risks, you have more chance in developing CHD. Task Calculate your risk factor using the risk table on page 95 of the test book. Lessening the risk Physical activity can help to protect us from CHD in several ways Improves heart efficiency – hypertrophy, lowers RHR, slowing down heart deterioration & improve length of an individual’s quality of life Improves vascular efficiency (vascular shunt) improving coronary blood flow Decreases blood lipids (LDL), reducing athero/arteriosclerosis Increases HDLs which act as scavengers to remove cholesterol May reduce Bp and risk of developing hypertension Alleviates tension/stress helping reduce hypertension Reduces body fat / obesity through controlling body weight Acts as a stimulus for a healthier lifestyle – to stop smoking/improve diet (a healthier & regular physical activity can chip away at fatty deposits which block precious oxygen from getting to your heart and lead to a lifelong involvement in an active and healthy lifestyle Recommended physical activity guidelines for protection against CHD The ACSM (American College of Sports Medicine) outline 3 guidelines to follow:1) People should engage in moderate activity for at least 30mins 5-7 days a week, although higher intensity exercise can provide greater protection 2) People with or at risk of heart disease i)To improve cardio-respiratory fitness 3-4hrs/wk of regular physical activity ii) To halt progression of fatty plaques in the arteries, 4-5hrs/wk iii) For regression of fatty plaques, 5-6hrs/wk 1) Activity does not necessarily need to be done in continuous blocks – accumulation of activity will gain the same benefits as from a single longer session. Trial 10 marker Using the information above, answer the following trial 10 marker... Evaluate critically the impact of physical activity on CHD [10marks] FURTHER READING – to help with this task, read the ‘breath life into your heart with exercise’ article in PE review, Sept ’08. 16 Response of the cardiovascular (respiratory) system to physical activity There are three main respiratory structures: Pulmonary ventilation - the breathing of air in and out of the lungs External respiration - exchange of 02 & C02 between lungs & the blood Internal respiration - exchange of 02 & C02 between blood & muscle tissues Mechanics of breathing is understood by linking 5 steps 1) Muscles - to actively contract or passively relax to cause.... 2) Movement - of the ribs, sternum & abdomen which causes.... 3) Thoracic cavity volume - to either increase or decrease which causes... 4) Lung air pressure - to either increase or decrease which causes 5) Inspiration or Expiration - air breathed in or out. Complete the following table.... Inspiration at rest 1 Muscles Diaphragm contracts – active External intercostals contract 2 Movement Diaphragm flattens / pushed down Ribs / Sternum moves up and out 3 Thoracic cavity volume increases 4 Lung air pressure decreases below atmospheric air (outside) Air rushes into the lungs 5 Inspiration during exercise 1 Muscles Diaphragm contracts External intercostals contract What muscles also contract? 2 Movement Diaphragm flattens with _________________ Increased lifting of ribs & sternum 3 _______________Thoracic cavity volume 4 ______________air pressure in lungs 5 More air rushes ___________the lungs 17 Expiration at rest 1 Muscles Diaphragm relaxes – passive External intercostals relax 2 Movement Diaphragm pushed upward Ribs / Sternum move in and down 3 Thoracic cavity volume decreases 4 Lung air pressure increases above atmospheric air (outside) Air rushes out of the lungs 5 Task Expiration during exercise 1 Muscles Diaphragm relaxes External intercostals relax What muscles contract to help with expiration? 2 Movement Diaphragm pushed _____ harder with _________________ Ribs & sternum pulled in and down 3 _______________________Thoracic cavity volume 4 ______________air pressure in lungs 5 More air pushed ___________of the lungs Count the times you breath in one minute (a breath is in and out) Take part in aerobic or anaerobic activity for 2-3 mins Count the times you breath in one minute again immediately after activity What do you find? EXAM TIP Respiratory muscles initiate breathing by increasing and decreasing the volume of the lung cavity and therefore lung pressures. Do not make the mistake of thinking the lungs or pressure differences themselves initiate breathing Exam question May 09 During exercise, the mechanics of breathing allow for greater volumes of air to be inhaled per breath. Describe how the mechanisms of neural control cause changes to the mechanics of breathing during exercise. [5 marks] 18 Respiratory volume This is calculated similar to the efficiency of the heart. There are 3 definitions and values that you have to consider... Lung Volumes Tidal Volume (TV) - the volume of air inspired or expired per breath - approx 500ml at rest Frequency (f) - the number of breaths taken in 1 minute - approx 12-15 breaths at rest Minute Ventilation (VE) - the volume of air inspired or expired in 1 minute. VE can be calculated by multiplying the tidal volume with the frequency of breaths in 1 minute. Calculate your VE using the information collected from the previous task (breathing per min) VE = = TV x f 500ml x ____ = ml/min = L/min EXAM TIP Make sure you don’t confuse these values with those of the heart. Lung volume changes during exercise..... Complete the following table Lung Volume Definition Tidal volume X Volume of air inhaled/exhaled per breath during rest Number of breaths in one minute Volume of air inspired/expired in one minute Frequency VE Resting volume 500ml per breath Change due to exercise 12-15 Increases: 6-7.5 L/min Increases: 19 Increases: Gaseous Exchange The exchange of gases (O2 and CO2) is called diffusion Diffusion = movement of gases from an area of high pressure to an area of low pressure Diffusion gradient = the difference between high & low pressure The bigger the gradient, the greater the diffusion and gaseous exchange takes place How do you know whether blood has high or low partial pressure (PP) or O2 or CO2? Oxygenated blood = _________________ High PP of ________________ Low PP of Deoxygenated blood = _________________ High PP of ________________ Low PP of When we exercise, both internal & external respiration increase Why? Oxyhaemoglobin dissociation curve Internal respiration - During exercise 4 factors shift the curve right because of increase in O2/CO2 diffusion 1. 2. 3. 4. 20 External respiration - The increase in diffusion gradient for both O2 and CO2 across the alveoli-capillary membrane = quicker and greater amount of gaseous exchange to ensure haemoglobin is almost fully saturated with oxygen Deoxygenated venous blood returning to the lungs have the following: High PP of _____________________ Lower PP of ____________________ than at rest Respiratory Control Centre (RCC) Where is the RCC located? ________________________ What does the RCC regulate via the respiratory muscles? ____________________________ Do the respiratory muscles work under voluntary or involuntary control? ____________________________ The respiratory muscles are stimulated at rest and during exercise. Factors affecting the RCC At rest....the medulla oblongata (1) contains Inspiratory and expiratory centres. When chemoreceptors (2), active muscles (3) and increasing temp (4) stimulate the Inspiratory centre (5), this stimulates the Inspiratory muscles (6) to contract, increasing the volume of the thoracic capacity and drawing air into the lungs. Inspiratory muscles passively relax, decreasing the volume of the thoracic cavity and air is expired. During exercise.....As (1) to (6) above, but during exercise the Inspiratory centre stimulates additional respiratory muscles (7) which increases the depth of breathing. This stimulates the stretch receptors (8) in the lungs, which stimulate the expiratory centre (9) to stimulate the expiratory muscles (10) to contract. This causes a forced expiration which reduces the duration of inspiration. This decreases the depth and therefore increases the rate of breathing. 21 Ventilatory response to various intensities of exercise..... Complete the following table, using the information given... 1. 2. 3. 4. 5. 6. Anticipatory Rise...prior to exercise in all 3 work intensities you release hormones and adrenaline, which stimulate the respiratory control centre (RCC) Rapid rise in VE.....at the start of exercise due to neural stimulation of RCC by muscle/joint proprioceptors Slower increase/plateau....in sub maximal exercise due to continued stimulation of RCC by proprioceptors, but with additional stimulation from temperature and chemoreceptors (increase in temp, CO2 and lactic acid levels and a decrease in blood O2). The plateau represents a steady state where the demands for oxygen by the muscles are being met by oxygen supply Continued but slower increase....in heart rate towards maximal values during maximal work due to continued stimulation from the receptors above and increasing chemoreceptor stimulation due to increasing CO2 and lactic acid accumulation Rapid decrease....in VE once exercise stops due to the cessation of proprioceptor and decreasing chemoreceptor stimulation Slower decrease....towards resting VE values The more intense the period of exercise is, the longer the elevated level of respiration is required to help remove the increased by-products of exercise eg. Lactic acid. Draw in the ventilatory response to light, moderate & heavy exercise intensities Task 140 Start 4 Stop 120 Heavy 100 Moderate 80 3 60 2 Light 40 1 6 20 0 5 Exercise -2 -1 0 1 2 (min) 22 3 4 5 Time 6 7 Things to remember... The exchange of oxygen and carbon dioxide takes place in the lungs and tissues and is called external and internal respiration Remember the close similarity between the heart and respiratory equations and don’t confuse them when answering heart/respiratory volume questions. Respiratory refers to air, heart refers to blood You will not be required to know actual partial pressures (PP) – only whether the PP is higher or lower and the reasons why EXAM TIP You may be required to describe and explain the changes in VE from resting to submaximal and maximal workloads, so is good to learn this well Exam questions Jan ‘09 During exercise there is an increased supply of oxygen to the working muscles. Describe the processes of internal respiration which allow more oxygen to be diffused into the muscle cell during exercise. [5 marks] Altitude effects on the respiratory system Exposure to high altitude has a significant effect upon performance and is also recognised as an ergogenic training aid. At high altitude (above 1500m) the PP of oxygen decreases (hypoxic) and this has a series of knock-on effect which decreases the efficiency of the respiratory processes 3.Decrease in O2 & Hb association 4. (HbO2) during external respiration 5.A reduction of O2 available to 2. muscles – due to a reduction in diffusion gradient & O2 exchanged / during internal respiration 1.Decrease in pp O2 in alveoli due to a decrease 6.Net effect in pp O2 in the atmospheric air 23 Impact of physical activity on the respiratory system with reference to lifelong involvement in an active lifestyle The respiratory system will increase its efficiency to supply O2 to the working muscles, especially during higher intensities of exercise through regular physical activity training. This is primarily due to an increase in efficiency of: Respiratory structures - Increased alveoli, increasing surface area for diffusion increased elasticity of respiratory structures, increased longetivity of respiratory structure efficiency Breathing mechanics - Increased efficiency/economy of respiratory muscles, reducing fatigue Respiratory volumes - Volumes increase increasing performance Gaseous exchange / diffusion - Increased VO2 Through increasing this efficiency of the respiratory system, VO2 max and the lactate threshold increase which in turn improves performance. Research - what is VO2 max and lactate threshold?......in pairs, present a poster showing what they are and their importance/issue within sports performance...... VO2 max - Lactate threshold - Exam question 1. In the 1968 Olympics held in Mexico at an altitude over 2300m there were new world records established in the throw/jump and sprint events but none in any of the distance events. Explain the effects of altitude on the respiratory system and how this may influence performance of different intensities of physical activity. [5 marks] 24 Asthma and an active lifestyle Symptoms – asthma is the reversible narrowing of airways leading to hyperirritability of airways, coughing, wheezing, breathlessness or mucus production How is it measured? - by inhaling into a spirometer and measuring the exhaled volume of air. Triggers - Drying of the airways causing an inflammatory response which constricts/narrows airways, termed bronchoconstriction. Common triggers include exercise, known as EIA (exercise induced asthma), exhaust fumes, dust, hair and pollens. Performance effects - Asthma can reduce performance, especially in elite aerobic athletes and is increasingly common in athletes. Management - what medical and non-medical treatments are there? Medical - inhalers Bronchodilators - which are relievers and relax muscles around airways and are normally taken before exercise or in response to symptoms Corticosteroids - which are preventers and suppress the chronic inflammation and improve the pre-exercise lung function and reduce sensitivity of the airway structures. A daily dose is normal for mild asthma Non medical A warm-up – at least 10-30mins at 50-60% MHR which provides a refractory period for up to 2hrs so you can exercise without triggering EIA Dietary modifications of reducing salt and increasing fish oils and vitamins C + E as this has been shown to reduce inflammatory response to EIA Task - what is IMT (Inspiratory Muscle Training)?.....discuss the use of the ‘POWERbreath’ training aid in increasing performance... 25 Smoking and an active lifestyle Smoking effects Impairs lung function and diffusion rates Increases damage and risk of respiratory diseases, infections and symptoms Irritates/damages/constricts/reduces elasticity of respiratory structures Triggers asthma, shortness of breath, coughing/wheezing, mucus/phlegm How does smoking effect sports performance? Think of a headline you would give to this picture.... Give 5 bullet points that you can think of regarding this picture Using the information from above, additional research and from the text book page 121, write up an article explaining the effects of smoking on sports performance.... 26 Exam questions May ‘09 1. Give two ways in which oxygen is transported in the blood. Describe the effect of smoking on the transport of oxygen in the blood. [5 marks] Jan ‘09 2. During exercise there is an increased supply of oxygen to the working muscles. Describe the processes of internal respiration which allow more oxygen to be diffused into the muscle cell during exercise. [5 marks] 27 CARDIO-RESPIRATORY CONTROL Summary of the cardio-respiratory control during exercise...... Factors affecting the activity of the control centres Hormonal adrenaline Proprioceptors Increase in motor movement Intrinsic Increase in venous return Increase in temperature Baroreceptors Lung stretch receptors Blood pressure Chemoreceptors Increase in PP CO2 Decrease in pH Decrease in PP O2 RCC VMC CCC Medulla Oblongata Sympathetic Nervous system CCC O Control structure Effect on cardio- Arterial & venous blood vessel walls Vascular shunt respiratory system Inspiratory muscles Sympathetic nervous system Accelerator nerve Phrenic & intercostals nerves Venomotor tone Means of transporta tion Vasomotor tone RCC Inspiratory Expiratory Centre Centre Medulla RCC Oblongata SA node Expiratory muscles Increases depth of breathing Increases rate of breathing Vasoconstriction & Vasodilation 28 Parasympathetic nervous system Vagus nerve Control Centres Increase HR Decrease HR